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Individual

DR. JOHN O'NEIL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
150 KINGSLEY LN, NORFOLK, VA 23505-4602
(804) 262-6900
Mailing address
PO BOX 844555, BOSTON, MA 02284-4555
(757) 889-5422
(770) 666-9204

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101046673
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7240287
VA
Enumeration date
03/31/2006
Last updated
05/06/2019
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